Individual provider · NPI-1

D'Avonni Carr

Community Health Worker · New Orleans, LA

NPI number1902279896
StatusActive
Last updated in NPPESNov 2, 2015

Details

NPI
1902279896
Entity type
Individual (NPI-1)
Name
D'Avonni Carr
Sex
Female
Sole proprietor
No
Enumeration date
Nov 2, 2015
Last updated
Nov 2, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

9970 Lake Forest Blvd
Suite A
New Orleans, LA 70127-2609

Phone 504-267-0194

Mailing address

9970 Lake Forest Blvd
Suite A
New Orleans, LA 70127-2609

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